Organization
JIM DANDY MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSIE RAY (PRESIDENT/OWNER)
(210) 615-9880
Entity
Organization
Contact information
Practice address
7959 FREDERICKSBURG RD, SUITE 111, SAN ANTONIO, TX 78229-3430
(210) 615-9881
Mailing address
7959 FREDERICKSBURG RD, SUITE 111, SAN ANTONIO, TX 78229-3430
(210) 615-9880
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1000177
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177661902
—
TX
Enumeration date
04/11/2006
Last updated
11/25/2009
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